Advance Directives

Living Wills
  • Advance directives without designation of patient advocate
While not legally binding in Michigan without the designation of a durable power of attorney or patient advocate, a legally competent individual may express, in writing his or her wishes for treatment or care in the event of incapacity.  If clearly expressed, these wishes must also be honored by a guardian appointed after the date they were created except under certain conditions allowed by law.

Designation of Patient Advocate for Health Care Decisions (DPOA-HC)

Also commonly referred to as a Health Care Proxy, a type of Durable Power of Attorney whereby an individual designates in writing another individual who is 18 years of age or older to exercise powers and preferences concerning care, custody and medical treatment decisions for the individual in the event the person becomes incapacitated. This person, called a Patient Advocate, may also be authorized to make an anatomical gift on the person's behalf in the event of death (Estates and Protected Individuals Code, MCL 700.5506-5513, as amended; Designation of Patient Advocate).

Designation of Patient Advocate for Mental Health Care Decisions (DPOA-MH)

Also commonly referred to as a Psychiatric Advance Directive, a type of Durable Power of Attorney whereby an individual designates in writing another individual who is 18 years of age or older to exercise powers and preferences concerning care, custody and mental health treatment decisions for the individual in the event the person becomes incapacitated. This person is also called a Patient Advocate (Estates and Protected Individuals Code, MCL 700.5506-5513, as amended; Designation of Patient Advocate).

Do Not Resuscitate Declaration (DNR)

A document created and executed pursuant to the Michigan Do-Not-Resuscitate Procedure Act, PA 193 of 1996 directing that resuscitation will not be initiated in the event that the individual suffers cessation of both spontaneous respiration and circulation. A DNR Declaration is not legally binding in a hospital, a nursing home or a mental health facility owned or operated by the Department of Community Health. A DNR declaration may not be used in an Adult Foster Care home inasmuch as AFC Licensing Rules require staff to initiate and take life-saving measures if a resident has a medical emergency.